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Individual

LAMEESHA M BEAMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
111 W BURLEIGH ST, MILWAUKEE, WI 53212-2045
(414) 488-4425
Mailing address
111 W BURLEIGH ST, MILWAUKEE, WI 53212-2045
(414) 488-4425

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1001
TRANSPOTATION
WI
Enumeration date
07/14/2021
Last updated
11/12/2025
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